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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.gov <br /> 1508 Rucker Ave Everett, WA 98201 <br /> PROJECT ADDRESS <br /> RUSCH JOHN F &VALERIE G 1508 Rucker Ave Everett, WA 98201 (425) 327-0030 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Smart Energy Today 1001 Cooper Point Rd SW STE 140-290, Olympia WA 98502 360-339-6660 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SMARTET869RJ 052463 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential Solar Generation 24,640.00 <br /> Proposed Use of Building Contract Price of Work <br /> 3,012 sqft Andrew Eberdt- 360-339-6660 - <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Andrew.E@SmartEnergyToday.net <br /> Number of devices(If low voltage) <br /> �escription of Work to Be�one: Installation of residential rooftop solar P/V system with 20 solar modules and 10 <br /> Microinverters equipped with automatic rapid shutdown <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� � <br /> I hereby certify thaf I have read and examined this applicafion and know the same to be true and <br /> correct. A/l provisions laws and ordinances governing this type of work will be completed <br /> whether specified h e� or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel e rovisions of any other state or local law regulating construction or the � �� O�� Q �� <br /> performance o co truction. That I am authorized by the owner of this property to perform the <br /> work for whi ap lication is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W C. <br /> ��._. <br /> J �; Z ��� 7 <br /> ig ture D e <br /> REVISED 08/06/2014 <br />